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Dr. Jill Liss, OB-GYN, Menopause Expert, and Versalie Advisor

Q&A with Dr. Liss, OB-GYN

What health risks are associated with weight gain during menopause?

Gaining weight during menopause, especially visceral fat (the internal fat around the abdominal organs), can increase the risk of heart disease, type 2 diabetes, and high blood pressure. This visceral fat can negatively impact our overall health and can increase the risk of these health conditions.

How does stress affect weight gain? How can I manage it? 

Stress can lead to emotional eating, especially foods with lots of sugar or simple carbs. This can also impact your endocrine (hormone) system, making it harder for your body to convert food into energy efficiently. Try stress management techniques like meditation, deep breathing, or yoga. Staying positive and finding ways to relax can also help manage stress and its impact on weight. 

Does menopause cause weight gain? 

Menopause itself doesn't directly cause weight gain, but the hormonal shifts, particularly in estrogen levels, can lead to fat redistribution, especially around the abdomen. Plus, as we age, we naturally lose muscle mass, and our metabolism slows down. These can contribute to weight gain if we don't adjust our diet and activity levels. 

What are some tips on how to lose menopause weight?

To manage menopause weight, focus on a balanced diet with lots of fruits, veggies, lean proteins, and whole grains. Exercise regularly, aiming for at least 150 minutes of cardio and 2-3 strength-training sessions each week. Managing stress and getting enough sleep are also crucial, as they can influence your eating habits and weight. 

What are some tips on how to lose weight after menopause? 

Losing weight after menopause is a lot like managing it during menopause: eat a healthy diet, exercise regularly (including strength training), and manage stress. Consider talking to a healthcare provider or dietitian to create a personalized plan that focuses on maintaining muscle health. 

How long does menopause weight gain last? 

Menopause is a permanent change, but the weight gain doesn't have to be. By making long-term lifestyle adjustments, you can manage or even reverse the weight gain. It's all about adopting healthy habits that you can stick with, rather than jumping on the latest fad diet.

Can omega-3 fatty acids help with menopausal weight gain?

Omega-3 fatty acids, found in foods like fish, flaxseeds, and walnuts, can support heart health and reduce inflammation. While they won’t directly cause weight loss, they can be part of a healthy diet that helps manage weight and reduce the risk of heart disease.

What role does physical activity play in managing menopausal weight gain?

Physical activity is a game-changer when it comes to menopausal weight gain. Regular cardio exercises, like walking, swimming, or cycling, can help burn calories and improve heart health. Strength training is especially important because it helps build muscle, which can boost your metabolism and make it easier to manage weight.

How do hot flashes and night sweats affect weight management?

Hot flashes and night sweats can disrupt sleep, which can affect your sleep and metabolism and lead to weight gain. Prioritizing good sleep hygiene, such as keeping your bedroom cool and dark, can help manage these symptoms and support weight management.

Are there specific dietary supplements that can help with menopausal weight gain?

It’s always best to talk to a healthcare provider about weight management and before you start any new supplement regimen to ensure it’s safe and effective for you.

How does estrogen affect body fat distribution during menopause?

Estrogen plays a significant role in where our body stores fat. As estrogen levels drop during menopause, fat tends to accumulate around the abdomen, leading to that dreaded "menopause belly." Maintaining a healthy diet and regular exercise with strength training can help counteract this shift.

Can improving gut health reduce abdominal fat?

Absolutely! A healthy gut can improve digestion and reduce bloating, which can make a big difference in how you feel and look. Eating a diet rich in fiber, staying hydrated, and managing stress can all contribute to better gut health and less abdominal fat.

How can I improve my gut health to manage menopausal weight gain?

Gut health plays a big role in weight management. Eating a diet rich in fiber, probiotics, and prebiotics can help keep your gut microbiome balanced. This can improve digestion and reduce bloating, making it easier to manage your weight.

How can I reduce abdominal fat during menopause?

Reducing abdominal fat during menopause can be challenging, but it’s not impossible. Focus on a diet rich in whole foods, including fruits, vegetables, lean proteins, and whole grains. Incorporate regular physical activity, especially strength training, to build muscle and boost your metabolism.

What is the connection between menopausal weight gain and gut health?

Menopausal weight gain, particularly the increase in abdominal fat, can sometimes be linked to gut health. Eating a diet high in fiber, probiotics, and prebiotics can help maintain a healthy gut, which in turn can support weight management and reduce bloating.

How does physical activity impact estrogen levels and weight management during menopause?

Physical activity, especially regular exercise, can have a positive impact on overall health and weight management during menopause. Exercise helps boost your metabolism by building muscle, making it easier to manage weight and reduce abdominal fat. Plus, staying active can help alleviate some of the discomforts associated with menopause, like hot flashes and night sweats.

Are there vitamins for menopause weight gain?

While some vitamins and supplements are marketed to help with menopause weight gain, there’s limited scientific evidence supporting their effectiveness. It’s best to focus on proven lifestyle changes — like regular exercise and a balanced diet — and consult your doctor before starting any supplement. Some ingredients may interact with medications or have side effects.

Is it safe to use GLP-1 medications with hormone therapy?

Current research shows that it’s safe to use GLP-1 receptor agonists together with hormone therapy during postmenopause. Studies have found that overweight/obese women who use both treatments do not experience more side effects than those who use either treatment alone.

In fact, women on hormone therapy may lose more weight when using GLP-1s compared to those not on hormone therapy. Please consult with your doctor on whether taking these medications by themselves or together is right for you.

Can a GLP-1 help with menopause-related weight gain?

We still don’t fully understand how GLP-1 medications affect menopause weight gain specifically. These drugs are proven to help with weight loss in adults who are overweight or obese, including postmenopausal women, but most studies haven’t focused specifically on people going through menopause.

That said, GLP-1s may be useful during this time. Menopause causes hormonal changes—especially lower estrogen—that can alter sugar metabolism and shift fat storage. GLP-1s help by reducing appetite, increasing feelings of fullness, and improving how the body handles sugar and fat.

These effects may make them a helpful option for managing weight gain around the menopause transition. Talk to your own doctor about whether GLP-1 medications are right for you.